Individual provider Active NPI

David Alan Paulson, M.D.

  • Internal Medicine Physician
  • St. Paul, MN
National Provider Identifier
1154312130
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21629 Issued in MN
Practice address
Minnesota Deparrtment of Corrections
1450 Energy Park Drive
St. Paul, MN 55108
Phone
(651) 603-0170
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21629 MN Primary

Addresses

Primary practice location

Minnesota Deparrtment of Corrections
1450 Energy Park Drive
St. Paul, MN 55108

Mailing address

Minnesota Deparrtment of Corrections
1450 Energy Park Drive
St. Paul, MN 55108
Phone (651) 603-0170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21629MNMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154312130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MINNESOTA DEPARRTMENT OF CORRECTIONS",
            "address_2": "1450 ENERGY PARK DRIVE",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55108",
            "telephone_number": "651-603-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MINNESOTA DEPARRTMENT OF CORRECTIONS",
            "address_2": "1450 ENERGY PARK DRIVE",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55108",
            "telephone_number": "651-603-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "21629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Paul, MN

Sources for this page

Verify at the official NPI Registry.